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Director, Medical Affairs The candidate will lead the design, execution, and management of the Medical Affairs Department for the company. Oversee the Credentialing Manager who is responsible for day-to-day credentialing and ..
... and transformative business results. Hematology Clinical Nurse Consultant Roles & Responsibilities ... Roles & Responsibilities Each Hematology Clinical Nurse Consultant (CNC) has a ... effectiveness of these interventions As..
... Status:u003c/strongu003eu0026nbsp; Full-Timeu003c/pu003enu003cpu003eu003cstrongu003ePOSITION SUMMARYu003c/strongu003eu003cbr /u003eThe Program Director oversees and coordinates the day-to-day ... and Recovery Philosophy, the Program Director provides clinical and administrative supervision, coaching, and ... and administrative supervision,..
Description Humana's Enterprise Clinical Management team needs your clinical, business and analytics acumen to ... healthcare challenges of today. The Clinical Analytics and Trend team uses ... techniques, data analysis,..
... Adjustment Integrity Unit (RAIU) Associate Director works collaboratively across the enterprise, ... values. Responsibilities The RAIU Associate Director is directly responsible for the ... and abuse, as well as..
Description The Associate Director, Operational Readiness ensures optimized interaction between a company and members through the development of predictable and sustainable readiness practices including continuous improvement methodologies that allow for rapid ..
Description The Medical Director actively uses their medical background, ... resources which may include national clinical guidelines, Humana contract language, Humana ... coverage policies and determinations, MCG, clinical reference materials,..
Refugee and Human Rights Clinic Staff Attorney The University of Maine School of Law is seeking to hire an experienced Staff Attorney for the Refugee and Human Rights Clinic (RHRC), a ..
Job Information Humana Director, Data Analytics and Digital Technologies ... therapies, social work, disease management education, hospice, and palliative care services ... intent to create a transformative clinical model to..
Job Information Humana Associate Director/Grievances and Appeals-Remote/Virtual in US in ... Portland Oregon Description The Associate Director, Grievances & Appeals manages client ... a comprehensive analytic review of clinical documentation..
... innovations, flexible medication access, one-on-one clinical support, and excellent customer service. ... customer service. Responsibilities Summary The Clinical Liaison is directly responsible for ... with their assigned client(s). The..
Job Information Humana Director of Pharmaceutical Manufacturer Relations in ... in Portland Maine Description The Director, Pharmaceutical Manufacturer Relations ensures the ... health outcomes of patients. The Director, Pharmaceutical Manufacturer..
Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Business's (HGB) Behavioral Health Medical Director will provide..
Job Information Humana Associate Director/Grievances and Appeals-Remote/Virtual in US in ... Portland Maine Description The Associate Director, Grievances & Appeals manages client ... a comprehensive analytic review of clinical documentation..
Description The Behavioral Health Medical Director responsible for behavioral health care ... operations. The Behavioral Health Medical Director work assignments involve moderately complex ... Business's (HGB) Behavioral Health Medical Director..
**Providence is calling a Clinical Chaplain - Spiritual Care (0.875 FTE, Nights) to Providence Saint Vincent Medical Center in Portland** **, OR.** **Apply today! Applicants that meet qualifications will receive a ..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization ... resources which may include national clinical guidelines, Humana contract language, Humana ... and determinations, medical necessity criteria, clinical..
... and Risk Adjustment National Medical Director in Portland Maine Description The ... and 3) contribute as a clinical industry representative. As a leader, ... (PST) that drives national provider..
... therapies, social work, disease management education, hospice, and palliative care services ... intent to create a transformative clinical model to serve their members ... we do. The AVP of..
**Providence St. Joseph Health is calling a Director Optimization PSJH. This position works 100% remotely so is open to candidates residing in Alaska, Washington, Montana, Oregon, California or Texas.** **Applicants that ..
... in the role of Associate Director, Neighborhood Center. Neighborhood Centers are ... retail setting, to include health education and improvement programs, clinical support, health screenings, customer service ... across..
... MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Portland ... on medical background and industry-standard clinical / coding guidance to ensure ... ensure physician and healthcare provider..